Jarrett Dale Johnson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1052 Issued in MS

Practice address

935 Cedar Lake Rd
Biloxi, MS 39532-2128

Phone

(228) 424-4593

Fax

(228) 392-4001

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cedar Lake Chiropractic Inc.

  • Chiropractor
  • Biloxi, MS
  • NPI 1598000309
  Medicare reassignment NPD Authorized official
• Peavy Chiropractic Clinic PA

  • Chiropractor
  • Hattiesburg, MS
  • NPI 1629116322
  NPD (past)
• Walters Peavy Chiropractic Clinic LLC

  • Chiropractor
  • Hattiesburg, MS
  • NPI 1710756804
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1629030572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 CEDAR LAKE RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322128",
            "telephone_number": "228-424-4593",
            "fax_number": "228-392-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 CEDAR LAKE RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322128",
            "telephone_number": "228-424-4593",
            "fax_number": "228-392-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JARRETT",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09052528",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Johnson, PA
• Ashley Taylor Johnson, CRNA
• Cynthia Lynette Johnson, PMHNP-BC
• Denise Johnson
• Gail H Johnson, LCSW
• Jean Johnson, M.S. CCC-SLP
• Kaylee Elder Johnson
• Kristina Renee Johnson, PH.D.
• Lashonda Johnson
• Latanya Felicia Johnson, RN BSN

• Chiropractor in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.